Effectiveness of risankizumab in plaque psoriasis with involvement of difficult-to-treat areas: a real-world experience from two referral centers

The management of plaque psoriasis that affects difficult-to-treat areas can be challenging. Biologics have become the treatment of choice for moderate-to-severe plaque psoriasis. However, there are limited data on their efficacy in difficult-to-treat sites (including scalp, palms/soles, nails and g...

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Main Authors: Diego Orsini, Luigi Gargiulo, Luciano Ibba, Ruggero Cascio Ingurgio, Mario Valenti, Chiara Perugini, Alessia Pacifico, Fabio S. Maramao, Pasquale Frascione, Antonio Costanzo, Alessandra Narcisi
Format: Article
Language:English
Published: Taylor & Francis Group 2023-12-01
Series:Journal of Dermatological Treatment
Subjects:
Online Access:http://dx.doi.org/10.1080/09546634.2023.2220849
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author Diego Orsini
Luigi Gargiulo
Luciano Ibba
Ruggero Cascio Ingurgio
Mario Valenti
Chiara Perugini
Alessia Pacifico
Fabio S. Maramao
Pasquale Frascione
Antonio Costanzo
Alessandra Narcisi
author_facet Diego Orsini
Luigi Gargiulo
Luciano Ibba
Ruggero Cascio Ingurgio
Mario Valenti
Chiara Perugini
Alessia Pacifico
Fabio S. Maramao
Pasquale Frascione
Antonio Costanzo
Alessandra Narcisi
author_sort Diego Orsini
collection DOAJ
description The management of plaque psoriasis that affects difficult-to-treat areas can be challenging. Biologics have become the treatment of choice for moderate-to-severe plaque psoriasis. However, there are limited data on their efficacy in difficult-to-treat sites (including scalp, palms/soles, nails and genitalia). We conducted a 52-week retrospective study to evaluate the effectiveness of risankizumab in 202 patients with moderate-to-severe involvement of at least one difficult-to-treat area. One hundred and sixty-five patients had scalp psoriasis, 21 had involvement of palms or soles, 72 were affected by genital psoriasis, and 50 patients reported the involvement of the fingernails. After one year of treatment, 97.58% of patients with scalp involvement, 95.28% of patients with palmoplantar psoriasis, 100% of patients with genital psoriasis and 82% of patients with nail involvement achieved a site-specific Physician’s Global Assessment of 0 or 1 (clear or almost clear). No serious adverse events were observed during the study. Our study supports the effectiveness of risankizumab in plaque psoriasis involving difficult-to-treat sites.
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spelling doaj.art-b9ddbcf12494443c97024bc2238bfb722023-09-15T14:28:53ZengTaylor & Francis GroupJournal of Dermatological Treatment0954-66341471-17532023-12-0134110.1080/09546634.2023.22208492220849Effectiveness of risankizumab in plaque psoriasis with involvement of difficult-to-treat areas: a real-world experience from two referral centersDiego Orsini0Luigi Gargiulo1Luciano Ibba2Ruggero Cascio Ingurgio3Mario Valenti4Chiara Perugini5Alessia Pacifico6Fabio S. Maramao7Pasquale Frascione8Antonio Costanzo9Alessandra Narcisi10Clinical Dermatology Unit - San Gallicano Dermatological Institute IRCCSDermatology Unit, IRCCS Humanitas Research HospitalDermatology Unit, IRCCS Humanitas Research HospitalDermatology Unit, IRCCS Humanitas Research HospitalDermatology Unit, IRCCS Humanitas Research HospitalDermatology Unit, IRCCS Humanitas Research HospitalClinical Dermatology Unit - San Gallicano Dermatological Institute IRCCSUOSD di Dermatologia, Fondazione Policlinico Tor Vergata, Università degli studi di Roma Tor VergataDermatology Oncology Unit– San Gallicano Dermatological Institute IRCCSDermatology Unit, IRCCS Humanitas Research HospitalDermatology Unit, IRCCS Humanitas Research HospitalThe management of plaque psoriasis that affects difficult-to-treat areas can be challenging. Biologics have become the treatment of choice for moderate-to-severe plaque psoriasis. However, there are limited data on their efficacy in difficult-to-treat sites (including scalp, palms/soles, nails and genitalia). We conducted a 52-week retrospective study to evaluate the effectiveness of risankizumab in 202 patients with moderate-to-severe involvement of at least one difficult-to-treat area. One hundred and sixty-five patients had scalp psoriasis, 21 had involvement of palms or soles, 72 were affected by genital psoriasis, and 50 patients reported the involvement of the fingernails. After one year of treatment, 97.58% of patients with scalp involvement, 95.28% of patients with palmoplantar psoriasis, 100% of patients with genital psoriasis and 82% of patients with nail involvement achieved a site-specific Physician’s Global Assessment of 0 or 1 (clear or almost clear). No serious adverse events were observed during the study. Our study supports the effectiveness of risankizumab in plaque psoriasis involving difficult-to-treat sites.http://dx.doi.org/10.1080/09546634.2023.2220849difficult areaspsoriasisreal-worldrisankizumab
spellingShingle Diego Orsini
Luigi Gargiulo
Luciano Ibba
Ruggero Cascio Ingurgio
Mario Valenti
Chiara Perugini
Alessia Pacifico
Fabio S. Maramao
Pasquale Frascione
Antonio Costanzo
Alessandra Narcisi
Effectiveness of risankizumab in plaque psoriasis with involvement of difficult-to-treat areas: a real-world experience from two referral centers
Journal of Dermatological Treatment
difficult areas
psoriasis
real-world
risankizumab
title Effectiveness of risankizumab in plaque psoriasis with involvement of difficult-to-treat areas: a real-world experience from two referral centers
title_full Effectiveness of risankizumab in plaque psoriasis with involvement of difficult-to-treat areas: a real-world experience from two referral centers
title_fullStr Effectiveness of risankizumab in plaque psoriasis with involvement of difficult-to-treat areas: a real-world experience from two referral centers
title_full_unstemmed Effectiveness of risankizumab in plaque psoriasis with involvement of difficult-to-treat areas: a real-world experience from two referral centers
title_short Effectiveness of risankizumab in plaque psoriasis with involvement of difficult-to-treat areas: a real-world experience from two referral centers
title_sort effectiveness of risankizumab in plaque psoriasis with involvement of difficult to treat areas a real world experience from two referral centers
topic difficult areas
psoriasis
real-world
risankizumab
url http://dx.doi.org/10.1080/09546634.2023.2220849
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